Health Plans

 

Streamlined Success

Achieve regulatory compliance and strategic network management objectives and outcomes with a streamlined, comprehensive approach to provider data management and payer credentialing.

PROVEN, CONFIGURABLE SOLUTIONS

cHealth plans need a secure, efficient, and trusted source for provider data that mitigates risk, lowers operational costs, and streamlines network administration functions so you can focus on delivering quality care and achieving optimal outcomes.

Now you can get all of that with Verisys. Streamline network administration with our configurable payer credentialing solutions and up-to-the-minute provider directories powered by accurate, verified data.

Here’s how health plans use Verisys to credential and enroll providers to ensure quality care with optimal outcomes:

Credentials Verification. Health plans can get primary source verifications by the No. 1 Credentials Verification Organization (CVO) in the United States: Verisys. Our CVO services also include automated verifications, sanctions monitoring, flexibility, and scalability – all brought to you by a trusted partner.

Provider Directories. Meeting compliance requirements and consumer demands for easy-to-use, up-to-the-minute, online, mobile, and printed directory formats is easy with Verisys’ five-day-a-week directory updates. Our directory solutions integrate seamlessly with your customized, configurable portal giving members a more sophisticated, intuitive experience that goes far beyond a simple provider search. Accessing accurate and up to date provider data allows your members to make better healthcare decisions.

Directory Data Services. We transform inaccurate, incomplete, or outdated provider data into comprehensive, deduplicated, and verified data. We do this using primary sources and powerful, proven analytics. We’ll ensure your provider data is accurate and up to date in order to meet compliance and member services objectives.

WHY VERISYS?

We are Proven
With three decades of experience, we understand insurance and payer credentialing services, the regulations that govern them, and the data requirements to maintain compliance. We know what health plans need to get the outcomes you want.
We are Innovative

Our configurable technology turns data and relationship management into a catalyst for growth by delivering compliant data and insurance credentialing solutions. Our innovative technology stack transforms millions of records into intuitive, interoperable formats.

We are Trusted

We are NCQA-certified for 11 of 11 certification services, URAC-accredited, ISO 9001 and 27001 certified, and AICPA SOC2-certified. We hold ourselves to the highest data and industry standards.

We Stand Behind our Results

Verisys developed a proprietary matching logic using algorithms in combination with oversight by data analysts to collect, transform, and match each piece of data to the right provider consistently with 99.9% accuracy. We stand behind our results 100% of the time.

PROVIDER DATA MANAGEMENT AND INSURANCE CREDENTIALING MADE EASY FOR HEALTH PLANS